Evidence map›Paper›PMID 41974212›Full record

ArticleJournal of controlled release : official journal of the Controlled Release Society2026

Narrowing of glioma vascular caliber via chronic VEGFR2 blockade improves the uniformity of focused ultrasound-mediated small molecule drug delivery.

Victoria R Breza, Matthew R Hoch, Claire Huchthausen, Catherine M Gorick, Anna C Debski, Claire Conarroe, Katherine M Nowak, Ji Song, Benjamin W Purow, G Wilson Miller and 1 more

Abstract read
In one paragraph

Article in Journal of controlled release : official journal of the Controlled Release Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Victoria R BrezaDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, United States of America.
Matthew R HochDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, United States of America.
Claire HuchthausenDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, United States of America.
Catherine M GorickDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, United States of America.
Anna C DebskiDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, United States of America.
Claire ConarroeDepartment of Pathology, University of Virginia, Charlottesville, VA, United States of America.
Katherine M NowakDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, United States of America; Department of Microbiology, Immunology, and Cancer Biology, University of Virginia, Charlottesville, VA, United States of America.
Ji SongDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, United States of America.
Benjamin W PurowDepartment of Neurology, University of Virginia, Charlottesville, VA, United States of America.
G Wilson MillerDepartment of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA, United States of America.
Richard J PriceDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, United States of America; Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA, United States of America. Electronic address: rprice@virginia.edu.

Funding

Focused ultrasound pre-conditioning for augmented nanoparticle penetration in infiltrative gliomasR01EB030409 · NIBIB · UNIVERSITY OF VIRGINIA · PI HANES, JUSTIN S., PRICE, RICHARD J. · 2021 to 2024
$2.3M
Small-Animal 9.4T MRI for Biomedical ResearchS10OD025024 · OD · UNIVERSITY OF VIRGINIA · PI BERR, STUART S. · 2019 to 2019
$2.0M
MR Image-Guided Drug Delivery to Cerebral Cavernous Malformations with Focused UltrasoundR01CA279134 · NCI · UNIVERSITY OF VIRGINIA · PI Richard J. Price · 2024 to 2026
$1.8M
Brain, Immunology and Glia Training ProgramT32NS115657 · NINDS · UNIVERSITY OF VIRGINIA · PI Alban P Gaultier, TAJIE H. HARRIS · 2021 to 2026
$1.2M
Augmenting focused ultrasound-mediated drug delivery to brain tumors with vascular normalizationR21CA286367 · NCI · UNIVERSITY OF VIRGINIA · PI PRICE, RICHARD J. · 2024 to 2024
$399k
NCI NIH HHS R01 CA279134NCI NIH HHS R21 CA286367NIBIB NIH HHS R01 EB030409NIH HHS S10 OD025024NINDS NIH HHS T32 NS115657
6 · The paper itself

Abstract

Glioblastoma (GBM) is a devastating disease, with standard-of-care therapies still yielding dismal survival outcomes. GBM cells are protected by the blood-brain and blood-tumor barriers, which severely limit therapeutic agent delivery from the bloodstream. Focused ultrasound (FUS), in combination with microbubbles (MBs), addresses this challenge by enhancing drug delivery. However, dilated and tortuous brain tumor vasculature disrupts MB flux and oscillation, which may limit FUS-mediated delivery. Here, we evaluated whether normalizing tumor vasculature via chronic neoadjuvant VEGFR2 inhibition (aVEGFR2, DC101) improves subsequent FUS-mediated small molecule drug delivery. After aVEGFR2 administration had pre-normalized GL261 glioma vasculature through reduced permeability and vascular caliber, T1 mapping MRI of FUS-delivered Multihance (MH) contrast agent, a model small molecule drug, yielded no change in total delivery. However, radiomic analysis of the T1 maps indicated that FUS-mediated model drug penetration into otherwise poorly accessible tumor regions was improved with aVEGFR2 pre-treatment. This improvement was accompanied by acoustic signatures suggestive of more stable MB oscillation. These results were then compared to those achieved with acute aVEGF pre-treatment, a regimen that copied the permeability reduction of chronic aVEGFR2 without reducing vascular caliber. This comparison identified reduced vascular caliber as the probable mechanism of improved delivery uniformity, perhaps acting through a shift in MB oscillation towards more stable regimes. Our results indicate that neoadjuvant aVEGFR2 cooperates with FUS-mediated small molecule drug delivery through a unique biophysical mechanism. This mechanism may be leveraged to further augment the efficacy of combination therapies against GBM that entail blocking VEGF signaling.

Indexed as

Brain NeoplasmsDrug Delivery SystemsGliomaVascular Endothelial Growth Factor Receptor-2AnimalsCell Line, TumorContrast MediaMicrobubblesUltrasonic WavesContrast MediaKdr protein, mouseVascular Endothelial Growth Factor Receptor-2Brain tumorsDrug deliveryFocused ultrasoundMicrobubblesVascular normalization

Identifiers

PMID41974212
PMCPMC13100710

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.